Individual
CHERI N OELLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
417 SE 164TH AVE, SUITE 300, VANCOUVER, WA 98684-8943
(360) 896-6944
(360) 254-2894
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045697
WA
207Q00000X
Family Medicine Physician
MD26969
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213009
WA L&I
—
05
—
213200
—
OR
05
—
8462764
—
WA
Enumeration date
08/31/2006
Last updated
01/11/2012
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